Individual
MS. DIANNA SHOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 436-1600
(718) 436-2085
Mailing address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 436-1600
(718) 436-2085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290069-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559608
—
NY
Enumeration date
04/03/2014
Last updated
07/21/2022
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